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Case Reports
. 2018 Jul 12:2018:bcr2018224700.
doi: 10.1136/bcr-2018-224700.

Acute presentation of a partially obstructing laryngeal tumour: adjuvant agents to gaseous induction of anaesthesia

Natalie Constable  1 , Carolyn Thomas  2 , Martyn Jones  3 , Matt Walters  4
Affiliations
Case Reports

Acute presentation of a partially obstructing laryngeal tumour: adjuvant agents to gaseous induction of anaesthesia

Natalie Constable et al. BMJ Case Rep. .

Abstract

We present the case of a 53-year-old man who attended our emergency department with stridor. He had recently undergone investigation for possible glottic cancer. We discuss the airway management of such a case. We believe this to be the first description of propofol target controlled infusion and clonidine to supplement a sevoflurane gas induction, in order to obtund response to intubation while maintaining spontaneous ventilation. We also consider how airway interventions may impact prognosis and need to be considered.

Keywords: anaesthesia; cancer intervention; ear, nose and throat/otolaryngology.

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
Preoperative CT scan showing hemilaryngeal tumour.
Figure 2
Figure 2
Preoperative CT scan showing hemilaryngeal tumour.
Figure 3
Figure 3
View of larynx showing microlaryngoscopy tube (MLT) in situ. Before debulking.
Figure 4
Figure 4
View of larynx after laser debulking of laryngeal tumour. MLT, microlaryngoscopy tube.
See this image and copyright information in PMC

References

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